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Common gastrointestinal side effects include nausea (approximately 44% of patients), vomiting, and abdominal discomfort, particularly during dose escalation

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Cramp Prevention: Precise replacement of magnesium and calcium stabilizes neuromuscular function to reduce the frequency and intensity of muscle spasms

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5.5 Perforation Perforation (total or partial, including penetration/embedment of Mirena in the uterine wall or cervix) may occur most often during insertion, although the perforation may not be detected until sometime later